| Place | Name | Time | Grade | School Name | Performance Score | Updated Rating | Rating Change |
|---|---|---|---|---|---|---|---|
| 1 | Addison Bertrand | 20:16.6 | 11 | Bishop Heelan Catholic, Sioux City | 2311 | 2309 | ▲1 |
| 2 | Marcella Palmer | 21:49.4 | 11 | Sioux City, North | 2166 | 2164 | ▲2 |
| 3 | Bailee Hansen | 22:14.4 | 10 | Sioux City, West | 2042 | 2000 | ▲61 |
| 4 | Lilly Whiteshirt | 22:24.4 | 12 | Sioux City, West | 2007 | 1991 | ▲29 |
| 5 | Kailyn Fitch | 22:34.6 | 9 | Bishop Heelan Catholic, Sioux City | 1975 | 1942 | ▲58 |
| 6 | Hanna Johnson | 23:03.6 | 11 | Sioux City, North | 1963 | 1974 | ▼-16 |
| 7 | Colby Carroll | 23:08.0 | 10 | Bishop Heelan Catholic, Sioux City | 1940 | 1955 | ▼-20 |
| 8 | Bjella Bockenstedt | 23:15.6 | 11 | Sergeant Bluff-Luton | 1915 | 1918 | ▼-3 |
| 9 | Ellie Topf | 23:19.1 | 9 | Bishop Heelan Catholic, Sioux City | 1885 | 1822 | ▲62 |
| 10 | Grace Roerig | 23:21.8 | 11 | Bishop Heelan Catholic, Sioux City | 1869 | 1839 | ▲32 |
| 11 | Kaylee Mesz | 23:29.4 | 10 | Lawton-Bronson | 1846 | 1769 | ▲48 |
| 12 | Angela Gonzalez | 23:32.7 | 11 | Bishop Heelan Catholic, Sioux City | 1840 | 1852 | ▼-17 |
| 13 | Khloe Eliesa | 23:38.6 | 7 | Sioux City, North | 1823 | 1832 | ▼-10 |
| 14 | Karis Hulinsky | 23:40.9 | 10 | Le Mars | 1812 | 1876 | ▼-53 |
| 15 | Emma Scott | 23:44.2 | 11 | Sioux City, East | 1792 | 1792 | ▲1 |
| 16 | Makenzie DeRocher | 23:51.2 | 11 | Le Mars | 1780 | 1788 | ▼-9 |
| 17 | Brooklyn DeRocher | 23:55.1 | 10 | Le Mars | 1765 | 1758 | ▲13 |
| 18 | Ashleigh Jochum | 24:23.7 | 11 | Bishop Heelan Catholic, Sioux City | 1756 | 1765 | ▼-13 |
| 19 | Cheyenne Ameen | 24:26.8 | 12 | Lawton-Bronson | 1744 | 1760 | ▼-15 |
| 20 | Joslyn Vogt | 24:31.0 | 11 | Sioux City, North | 1731 | 1745 | ▼-15 |
| 21 | Ella Vanderlinden | 24:49.0 | 9 | Sioux City, East | 1713 | 1677 | ▲78 |
| 22 | Abby Hall | 24:55.4 | 12 | Sioux City, North | 1704 | 1684 | ▲18 |
| 23 | Addison Smith | 25:00.9 | 12 | Lawton-Bronson | 1684 | 1694 | ▼-8 |
| 24 | Sarah Tilberg | 25:05.1 | 10 | Le Mars | 1668 | 1649 | ▲20 |
| 25 | Ashlie Rehal | 25:12.7 | 10 | Bishop Heelan Catholic, Sioux City | 1656 | 1622 | ▲37 |
| 26 | Lilin Kamm | 25:33.1 | 11 | Sioux City, East | 1640 | 1654 | ▼-36 |
| 27 | Natalie McKenna | 25:35.0 | 10 | Lawton-Bronson | 1626 | 1623 | ▲3 |
| 28 | Ashlynn Salter | 25:37.9 | 10 | Sergeant Bluff-Luton | 1618 | 1630 | ▼-45 |
| 29 | Jayci Lockamy | 25:38.6 | 11 | Sioux City, East | 1605 | 1605 | 0 |
| 30 | Katelyn Cook | 25:44.9 | 11 | Sioux City, North | 1590 | 1561 | ▲59 |
| 31 | Khloee Weitzel | 25:48.4 | 11 | Sioux City, East | 1588 | 1628 | ▼-105 |
| 32 | Cali Rosener | 25:49.9 | 10 | Le Mars | 1574 | 1575 | ▼-2 |
| 33 | Lela Haveman | 26:03.2 | 12 | Lawton-Bronson | 1562 | 1558 | ▲2 |
| 34 | Sienna Kass | 26:06.6 | 12 | Le Mars | 1555 | 1606 | ▼-56 |
| 35 | Aubree O'Brien | 26:16.7 | 9 | Lawton-Bronson | 1537 | 1525 | ▲10 |
| 36 | Tessa Kellen | 26:18.2 | 12 | Le Mars | 1524 | 1508 | ▲24 |
| 37 | Alondra Prieto | 26:52.9 | 12 | Sioux City, West | 1482 | 1473 | ▲14 |
| 38 | Claire Fiegel | 26:57.4 | 9 | Sergeant Bluff-Luton | 1476 | 1503 | ▼-49 |
| 39 | Delaney Robinson | 28:05.4 | 12 | Sergeant Bluff-Luton | 1424 | 1411 | ▲18 |
| 40 | Sarah Stevens | 28:17.1 | 9 | Sergeant Bluff-Luton | 1405 | 1425 | ▼-27 |
| 41 | Peyton Howell | 28:27.1 | 12 | Le Mars | 1394 | 1420 | ▼-27 |
| 42 | Kendra Berglund | 28:49.7 | 12 | Sergeant Bluff-Luton | 1382 | 1401 | ▼-54 |
| 43 | Rhyleigh Haas Serrato | 31:41.0 | 9 | Sioux City, West | 1045 | 1054 | ▼-19 |